| NPI | 1326348558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101408) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4624) |
| 106H00000X Marriage & Family Therapist (Licence: CA 119841) | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 2472E0500X Technician, Other, EEG | |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2022-03-08 |