| NPI | 1902376445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LMFT127408) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102752) |
| 101YP2500X Counselor, Professional (Licence: CA 4497) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2026-03-17 |