| NPI | 1811602691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 19864) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 138373) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-09-19 |