| NPI | 1063539567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT52790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF56377) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC52790) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-12-14 |