| NPI | 1992906457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84749) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84749) |
| 101YP2500X Counselor, Professional (Licence: CA 84749) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 84749) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2025-07-11 |