| NPI | 1629442801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84217) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 84217) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2022-02-28 |