| NPI | 1205488236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142725) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 15083) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-02-18 |