| NPI | 1326729641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164479) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 23283) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2026-07-23 |