| NPI | 1639059066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC18274) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT123808) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |