| NPI | 1619515640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130181) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 10744) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2025-05-01 |