| NPI | 1558023929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9350) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-07-01 |