| NPI | 1750756714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 115545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF78251) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 78251) | |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2021-06-16 |