| NPI | 1881463834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144061) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 17213) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2025-07-16 |