| NPI | 1710495924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 162951) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 115562) |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT115562) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2026-04-27 |