| NPI | 1891514139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT158657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC20789) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2026-09-23 |