| NPI | 1538292131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 51706) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50621) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-07-31 |