| NPI | 1992877971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC42476) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA MFT42476) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-03-09 |