| NPI | 1003417098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 145301) |
| 101YP2500X Counselor, Professional (Licence: CA 8429) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 145301) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2025-04-28 |