| NPI | 1629670500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141282) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2024-09-30 |