| NPI | 1811529308 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49429) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 549) | 
| 101YM0800X Counselor, Mental Health (Licence: OR C2774) | |
| Enumeration Date | 2020-02-12 | 
| Last Update Date | 2025-09-22 |