| NPI | 1932819943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13766) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-10-09 |