| NPI | 1720770464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131812) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 11498) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |