| NPI | 1417466814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 157939) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 20518) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2026-01-02 |