| NPI | 1689064107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 82252) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2021-06-07 |