| NPI | 1487121323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 78240) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 838) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |