| NPI | 1255768594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF84834) |
| 101YP2500X Counselor, Professional (Licence: CA PCCI1860) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF84834) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2019-10-10 |