| NPI | 1932770146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143947) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 110945) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-04-01 |