| NPI | 1902602808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT147186) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 16745) |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-12-02 |