| NPI | 1619264652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF64059) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2020-07-31 |