| NPI | 1700275559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109706) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 78216) |
| 106H00000X Marriage & Family Therapist (Licence: CA 78216) | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2019-01-19 |