| NPI | 1043716061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140218) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14488) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2025-05-12 |