| NPI | 1760822951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 21818) |
| 101YP2500X Counselor, Professional (Licence: CA 4906) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 2620) | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2025-08-06 |