| NPI | 1588530828 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 161837) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 22037) |
| 171400000X Health & Wellness Coach (Licence: CA F8E52ADC82) | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2026-03-10 |