| NPI | 1699641258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC19402) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT155446) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-11-10 |