| NPI | 1023530987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 152967) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 152967) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2025-09-25 |