| NPI | 1457843211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT120187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF103141) |
| 101YP2500X Counselor, Professional (Licence: CA IMF103141) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2025-08-26 |