| NPI | 1982016077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109784) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2425) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2019-03-29 |