| NPI | 1124654249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT145567) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 99251) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2025-08-26 |