| NPI | 1609540152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102691) |
| 225400000X Rehabilitation Practitioner | |
| 225400000X Rehabilitation Practitioner (Licence: CA 102691) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW102691) | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-02-02 |