| NPI | 1154922680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 156604) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101200000X Drama Therapist (Licence: CA 903) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2026-02-26 |