| NPI | 1689156325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108648) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA AMFT108648) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2019-07-16 |