| NPI | 1760854616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112634) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI2282) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC8825) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF88026) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2021-06-09 |