| NPI | 1114660305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 17217) |
| 103T00000X Psychologist (Licence: CA 94028227) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2025-06-11 |