| NPI | 1255070082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143564) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15428) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2026-08-05 |