| NPI | 1740830488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT92303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC4674) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2019-09-15 |