| NPI | 1205589314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129761) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 10771) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |