| NPI | 1043507635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF66273) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2023-10-12 |