| NPI | 1215912233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SC LMFT1585) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC LPC448) | 
| 1041C0700X Social Worker, Clinical (Licence: SC LISWCP66) | |
| Enumeration Date | 2005-12-13 | 
| Last Update Date | 2025-09-11 |