| NPI | 1104426071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 165090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 121843) |
| 106H00000X Marriage & Family Therapist (Licence: CA 121843) | |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2026-09-17 |