| NPI | 1760955835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109514) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFT109514) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-08-15 |