| NPI | 1639857543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14122) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14122) |
| 106H00000X Marriage & Family Therapist (Licence: CA 14122) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |