| NPI | 1912350273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95151) |
| 106H00000X Marriage & Family Therapist (Licence: CA 95151) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-02-10 |