| NPI | 1801697198 |
|---|---|
| Other Name | NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152522) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 18436) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |