| NPI | 1477861441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 914336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64581) |
| 106H00000X Marriage & Family Therapist (Licence: CA 64581) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2020-06-03 |