| NPI | 1245665561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT124395) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSB94026604) |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 124395) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA PSB94026604) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: CA PSB94026604) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2022-09-12 |