| NPI | 1770085771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140753) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 14362) |
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2023-08-07 |