| NPI | 1821212564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT48669) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC39) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-05-04 |