| NPI | 1548782337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111220) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2023-05-08 |