| NPI | 1477105450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 22540000X) |
| 106H00000X Marriage & Family Therapist (Licence: CA 115047) | |
| 106H00000X Marriage & Family Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-04-15 |