| NPI | 1497263412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT36555) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 36555) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFT36555) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-03-17 |