| NPI | 1801562368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47082) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 47082) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2022-09-08 |