| NPI | 1760107072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144896) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15800) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-03-15 |