| NPI | 1639458169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 9138) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 9138) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2025-05-27 |