| NPI | 1518433507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4089) |
| 106H00000X Marriage & Family Therapist (Licence: CA 100579) | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-02-03 |