| NPI | 1376299826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist (Licence: CA 31202) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |