| NPI | 1962922294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107079) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 174400000X Specialist | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-03-23 |