| NPI | 1073348314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 159990) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 159990) |
| 106H00000X Marriage & Family Therapist (Licence: CA 159990) | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2026-08-12 |