| NPI | 1003138165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008332) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98037) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2025-10-31 |