| NPI | 1871638965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT127553) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2021-12-15 |