| NPI | 1760901383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110754) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3983) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP3284R) | |
| 101YP2500X Counselor, Professional (Licence: CA 8957) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 99908) | |
| 106H00000X Marriage & Family Therapist (Licence: NV 2855-R) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2025-05-13 |