| NPI | 1689063810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF75809) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-11-13 |