| NPI | 1366599524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 124539350) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2025-04-09 |