| NPI | 1679846885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT133537) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT99659) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2022-07-07 |