| NPI | 1225780935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMF130334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 130334) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-10-19 |