| NPI | 1013227255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT132504) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 64641) |
| 101YM0800X Counselor Mental Health (Licence: CA AMFT132504) | |
| 225400000X Rehabilitation Practitioner (Licence: CA 64641) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-07-10 |