| NPI | 1659746329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA imf82702) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2025-06-29 |