| NPI | 1417619453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 162060) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 10466) |
| 106H00000X Marriage & Family Therapist (Licence: CA 127432) | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2026-03-06 |