| NPI | 1518120799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122606) |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician (Licence: CA 31448) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-01-31 |