| NPI | 1306551817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14913) |
| 106H00000X Marriage & Family Therapist (Licence: NV 5015-R) | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2025-05-14 |