| NPI | 1285133413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137811) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12875) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2026-02-10 |