| NPI | 1669269825 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 38993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT38993) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |