| NPI | 1699220590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 113115) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2019-10-30 |