| NPI | 1376068486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC22196) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT163232) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2026-05-14 |