| NPI | 1578073763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120305) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11584) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-07-28 |