| NPI | 1154779908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101163) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-12-03 |