| NPI | 1750724738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT99857) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF80544) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2022-01-12 |