| NPI | 1740775832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136594) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117851) |
| 101YP2500X Counselor, Professional (Licence: CA 7288) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-02-28 |