| NPI | 1841601507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121894) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health (Licence: CA 102118) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2025-12-18 |