| NPI | 1699441121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 153525) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 20616) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-10-22 |