| NPI | 1356827232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154342) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 115251) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2025-04-29 |