| NPI | 1851984132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145843) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 123977) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2024-03-27 |