| NPI | 1427659762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 148887) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 148887) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT148887) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-08-18 |