| NPI | 1154179414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LH10543) |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist (Licence: CA MC16584) | |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |