| NPI | 1487457172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15151) |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-04-02 |