| NPI | 1811388580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108092) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 8732) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2021-08-31 |