| NPI | 1104577352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 162253) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 22225) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2026-08-12 |