| NPI | 1689797763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CA 384769) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 39907) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-03-25 |