| NPI | 1639804164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT131281) |
| 1041C0700X Social Worker, Clinical (Licence: CA 131281) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2026-08-21 |