| NPI | 1407298912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125565) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA D8621008) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2025-03-28 |