| NPI | 1023590429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 159499) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123974) |
| 101YM0800X Counselor, Mental Health (Licence: CA 123974) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2025-11-21 |