| NPI | 1700215308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 137499) |
| 101YM0800X Counselor, Mental Health (Licence: CA 120812) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2026-09-10 |