| NPI | 1528105368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 48279) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT 48279) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 40902) | |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC 48279) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-04-10 |