| NPI | 1447538863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 95017) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2019-04-04 |