| NPI | 1073121026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 21556) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 160849) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2026-04-23 |