| NPI | 1497673248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 163463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 22784) |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |