| NPI | 1407364292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130578) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6523) |
| 106H00000X Marriage & Family Therapist (Licence: CA 114020) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-01-18 |