| NPI | 1992221303 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 106H00000X Marriage & Family Therapist (Licence: CA 98625)  | |
| Enumeration Date | 2017-08-17 | 
| Last Update Date | 2025-06-13 |