| NPI | 1851578603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT37665) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT37665) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-07-21 |