| NPI | 1639337371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71394) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2023-09-18 |