| NPI | 1801463419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12351) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 135079) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2025-02-04 |