| NPI | 1639847601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 18908) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2025-04-15 |