| NPI | 1487162079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100326) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 4113) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-04-15 |