| NPI | 1104390723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT135908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT135908) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-12-06 |