| NPI | 1013140813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100627) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95127) |
| 101YM0800X Counselor Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2017-07-10 |