| NPI | 1629760152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT161590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AMFT138564) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2026-02-12 |