| NPI | 1689776338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT 23448) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA LEP 1733) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2022-07-21 |