| NPI | 1215683677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140786) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 127290) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2023-08-07 |