| NPI | 1629446018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18375) |
| 101YP2500X Counselor, Professional (Licence: 183556) | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2025-10-28 |