| NPI | 1801806468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT43546) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C6800) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC8) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-04-22 |