| NPI | 1124814108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119397) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 119397) |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-07-02 |