| NPI | 1497002315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135819) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 70254) |
| 101YM0800X Counselor, Mental Health (Licence: CA 105984) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2022-11-20 |