| NPI | 1912790809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153186) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 18718) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |