| NPI | 1477278927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH22532) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11205) |
| 106H00000X Marriage & Family Therapist (Licence: FL IMT3707) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 131414) | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |