| NPI | 1801212584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA m12300) |
| Additional Taxonomies | 174V00000X Clinical Ethicist (Licence: CA LMFT12300) |
| 174400000X Specialist (Licence: CA STC330468) | |
| 101Y00000X Counselor (Licence: CA MJ12300) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA LFT12300) | |
| 103K00000X Behavior Analyst (Licence: CA m12300) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: CA m12300) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CA m12300) | |
| 103TC0700X Psychologist, Clinical (Licence: CA m12300) | |
| 103TC1900X Psychologist, Counseling (Licence: CA m12300) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CA m12300) | |
| 103TF0000X Psychologist, Family (Licence: CA m12300) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: CA m12300) | |
| 106H00000X Marriage & Family Therapist (Licence: CA m12300) | |
| 101YM0800X Counselor, Mental Health (Licence: CA LMFCT12300) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2015-04-28 |