| NPI | 1013665033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107194) |
| 225400000X Rehabilitation Practitioner | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-07-02 |