| NPI | 1568239358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 133719) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-04-08 |