| NPI | 1902293509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 1902293509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109530) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2025-02-03 |