| NPI | 1669287678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 17696) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 149908) |
| Enumeration Date | 2025-02-08 |
| Last Update Date | 2025-02-10 |