| NPI | 1952640724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 132965) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2023-05-22 |