| NPI | 1053132605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148929) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 17457) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |