| NPI | 1497397509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13965) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 144115) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2026-04-13 |