| NPI | 1447756192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID 9574) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 138995) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-09-05 |