| NPI | 1811529308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49429) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 549) |
| 101YM0800X Counselor, Mental Health (Licence: OR C2774) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-07-07 |