| NPI | 1295597052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 15437) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2026-07-31 |