| NPI | 1982850632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51035) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 56443) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2023-06-19 |