| NPI | 1306566278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 41332) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 1382) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |