| NPI | 1073292116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148832) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 17219) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-07-13 |