| NPI | 1710687751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133039) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11662) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |