| NPI | 1780168211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6583) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2074) |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT155362) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2025-09-29 |