| NPI | 1376434712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17635) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 149329) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |