| NPI | 1528948312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61628260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 18439) |
| 106H00000X Marriage & Family Therapist (Licence: CA 152495) | |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |