| NPI | 1376147975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143652) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 143652) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2025-05-15 |