| NPI | 1669545521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127342) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 36822) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-04-28 |