| NPI | 1619377520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 91863) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91863) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2018-08-14 |