| NPI | 1831615053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C-7206) |
| 101YP2500X Counselor, Professional (Licence: CA 7806) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2026-08-04 |