| NPI | 1508380460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT121155) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4133) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-04-16 |