| NPI | 1881723203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104264) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT104264) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2021-01-08 |