| NPI | 1952121378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134122) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13287) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |