| NPI | 1619540713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 20342) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 127428) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-08-21 |