| NPI | 1568901130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF83550) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2019-04-22 |