| NPI | 1700281029 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT140160)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 101Y00000X Counselor | |
| Enumeration Date | 2014-10-29 | 
| Last Update Date | 2023-06-30 |