| NPI | 1881941516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96193) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 6364) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2025-07-13 |