| NPI | 1780122093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106904) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2983) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-06-22 |