| NPI | 1801147806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 71535) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 102567) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2023-08-09 |