| NPI | 1780482463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 15878) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 145267) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |