| NPI | 1467778001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86779) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA 67868) | |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF 67868) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2016-04-15 |