| NPI | 1043786502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT123631) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT109225) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT109225) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-01-11 |