| NPI | 1568940609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124338) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT107718) |
| 101YS0200X Counselor, School (Licence: CA 220286250) | |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2026-05-15 |