| NPI | 1659672657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 47412) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 47412) |
| 101YM0800X Counselor, Mental Health (Licence: CA 47412) | |
| 101YP2500X Counselor, Professional (Licence: CA 47412) | |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2024-01-29 |