| NPI | 1669945226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155965) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT122304) |
| 106H00000X Marriage & Family Therapist (Licence: CA 122304) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2025-07-02 |