| NPI | 1376059691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139538) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 110013) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 110013) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2023-11-20 |