| NPI | 1669935755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 11180-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC14250) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT136983) | |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2024-11-11 |