| NPI | 1801308747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138765) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 114429) |
| 101YM0800X Counselor Mental Health | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 114429) | |
| 225C00000X Rehabilitation Counselor (Licence: CA 114429) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2024-11-12 |