| NPI | 1700646130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15395) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 142651) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |