| NPI | 1518370287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90692) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LMFT139411) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA LMFT139411) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2023-06-26 |