| NPI | 1053040279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 160662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12803) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2026-01-09 |