| NPI | 1992550818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141293) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 14454) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-07-03 |