| NPI | 1679037212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 146440) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 123584) |
| 106H00000X Marriage & Family Therapist (Licence: CA 123584) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-04-23 |