| NPI | 1629794243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 39896) |
| 101YM0800X Counselor, Mental Health (Licence: CA MFC39896) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |