| NPI | 1750079661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 16973) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-10-22 |