| NPI | 1003703802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148998) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17491) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |