| NPI | 1821513227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121598) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 99137) |
| 101YM0800X Counselor Mental Health (Licence: CA 121598) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2025-04-19 |