| NPI | 1316227945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111539) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 74374) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2019-06-25 |