| NPI | 1851708648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 118522) | |
| 106H00000X Marriage & Family Therapist (Licence: 126327) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2021-06-14 |