| NPI | 1124806583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT154306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT154306) |
| 101YM0800X Counselor, Mental Health (Licence: CA 141076) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2025-04-22 |