| NPI | 1679864805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107211) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88453) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2019-12-18 |