| NPI | 1114050937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MA12947) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MA12947) |
| 101YP1600X Counselor, Pastoral (Licence: CA MA12947) | |
| 225400000X Rehabilitation Practitioner (Licence: CA MA 12947) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-07-01 |