| NPI | 1780257048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143392) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2025-08-25 |