| NPI | 1336580505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 482863) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9195) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2025-10-28 |