| NPI | 1851956460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT112552) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC6257) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |