| NPI | 1962206649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC18714) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT153060) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-08-06 |