| NPI | 1992227318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16050) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2025-01-30 |