| NPI | 1013635747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 156895) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 20193) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-09-09 |