| NPI | 1912467671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 110785) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13191788-3904) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT110785) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-03-24 |