| NPI | 1750438917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: LMFT31149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFT31149) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-04-15 |