| NPI | 1174863393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 220068128) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 87206) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2026-07-22 |