| NPI | 1558793042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88569) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88569) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2019-08-15 |