| NPI | 1225646102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17236) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 131750) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-09-02 |