| NPI | 1801137807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT97519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO MFT.0001382) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2021-06-02 |