| NPI | 1851617203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121132) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF94025) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF94025) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2021-02-17 |