| NPI | 1700272713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73978) |
| 106H00000X Marriage & Family Therapist (Licence: CA 73978) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-02-18 |