| NPI | 1689259038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health (Licence: CA 101YM0800X) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2025-10-02 |