| NPI | 1801955653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 79272) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89951) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2024-05-29 |