| NPI | 1740030451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12044) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-11-17 |