| NPI | 1770051401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110139) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 5784) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |