| NPI | 1972013746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128015) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP2500X Counselor, Professional (Licence: DE PC-0011735) | |
| 101YP2500X Counselor, Professional (Licence: CA 11455) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002229) | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2025-01-15 |