| NPI | 1336694769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138174) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 13524) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2025-01-09 |