| NPI | 1720343668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2986) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT157797) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2026-07-31 |