| NPI | 1477823102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 97187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC3669) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2025-01-14 |