| NPI | 1184128274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC23452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT105162) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2026-01-16 |