| NPI | 1124801923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14391) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 141040) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-09-18 |