| NPI | 1053185520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA APCC14840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC14840) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT142868) | |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2025-05-27 |