| NPI | 1255200697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT155345) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC19491) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |