| NPI | 1720231681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52020) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 684) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2020-04-07 |