| NPI | 1841703675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133163) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 13952) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-06-21 |