| NPI | 1508564055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT132066) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC14979) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2025-10-10 |