| NPI | 1235974098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147154) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 16692) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |