| NPI | 1992223242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145637) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 122856) |
| 106H00000X Marriage & Family Therapist (Licence: CA 122856) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-03-11 |