| NPI | 1235632753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119444) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4650) |
| Enumeration Date | 2018-03-11 |
| Last Update Date | 2023-01-02 |