| NPI | 1497141253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103810) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 103810) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2018-12-10 |