| NPI | 1497035869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 75675) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99159) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2025-07-18 |