| NPI | 1942781687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 23678) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA MFT23678) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2025-02-24 |