| NPI | 1164103560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT164631) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC22578) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2026-08-05 |