| NPI | 1639968456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151227) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 17948) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |