| NPI | 1659520088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7106) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2022-06-01 |