| NPI | 1093175879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61123618) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 729) |
| 106H00000X Marriage & Family Therapist (Licence: CA 83546) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2026-06-18 |