| NPI | 1477115368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 5348) |
| 106H00000X Marriage & Family Therapist (Licence: CA 107920) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-01-30 |