| NPI | 1811395569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98697) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 84076) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-09-09 |