| NPI | 1437461662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106112) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 86653) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2022-04-16 |