| NPI | 1689423212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149958) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16141) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2025-01-29 |