| NPI | 1750983847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 164252) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2026-06-30 |