| NPI | 1114386943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111002) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 220190114) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2026-01-20 |