| NPI | 1548751001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99792) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 11362) |
| 101YM0800X Counselor Mental Health (Licence: CA 6290) | |
| 106H00000X Marriage & Family Therapist (Licence: MA 1765) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-08-16 |