| NPI | 1316500846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140668) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 15394) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2026-03-23 |