| NPI | 1316446552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CA 94026742) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA 94026742) |
| 106H00000X Marriage & Family Therapist (Licence: CA 114485) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-07-28 |