| NPI | 1124801923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 162213) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14391) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-03-21 |