| NPI | 1336723220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125214)  | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist | 
| 101Y00000X Counselor | |
| Enumeration Date | 2021-05-07 | 
| Last Update Date | 2024-10-31 |