| NPI | 1578910444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109372) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA IMF86143) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-02-19 |