| NPI | 1770079667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC958-0) |
| 106H00000X Marriage & Family Therapist (Licence: CA LPCC9119) | |
| 106H00000X Marriage & Family Therapist (Licence: HI MHC958-0) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-03-07 |