| NPI | 1104483759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW119021) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-04-30 |