| NPI | 1932989712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127231) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 10023) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-10-23 |