| NPI | 1356620538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8421) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126125) |
| 106H00000X Marriage & Family Therapist (Licence: CA 100133) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2026-07-22 |