| NPI | 1134315401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001876A) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: CA 48104) |
| 101Y00000X Counselor (Licence: CA 48104) | |
| 101YP2500X Counselor, Professional (Licence: CA 48104) | |
| 103G00000X Clinical Neuropsychologist (Licence: CA 48104) | |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006620) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 48104) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2022-08-11 |