| NPI | 1720589468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11128) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2026-03-13 |