| NPI | 1467079160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-55017) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119621) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2026-06-08 |