| NPI | 1588303317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 158383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CA 12099) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-09-30 |