| NPI | 1659745099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149740) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TF0200X Psychologist, Forensic | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2024-10-05 |