| NPI | 1558726638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89643) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2025-08-12 |