| NPI | 1215667076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147981) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC11718) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-09-02 |