| NPI | 1093208019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129388) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103706) |
| 101YM0800X Counselor, Mental Health (Licence: CA 129388) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-09-15 |