| NPI | 1477197481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 19632) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 147401) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2026-03-26 |