| NPI | 1700517695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT149579) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC17678) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2026-08-18 |