| NPI | 1750665253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 111795) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 73957) |
| 106H00000X Marriage & Family Therapist (Licence: CA 52512) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2019-02-19 |