| NPI | 1780068643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT100486) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF79449) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMF) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2018-08-01 |