| NPI | 1861417719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC2354) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT29171) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-09-17 |