| NPI | 1609909811 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT2739) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC75) | 
| Enumeration Date | 2007-03-14 | 
| Last Update Date | 2025-09-11 |