| NPI | 1497951503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90284) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 90284) |
| 101YM0800X Counselor Mental Health (Licence: CA 74473) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-11-14 |