| NPI | 1790254324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110197) |
| 106H00000X Marriage & Family Therapist (Licence: CA 110197) | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2022-01-26 |