| NPI | 1821686387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140262) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 123146) |
| 106H00000X Marriage & Family Therapist (Licence: CA 123146) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-05-06 |