| NPI | 1992206817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC10255) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CA AMFT127949) | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist (Licence: CA LMFT144969) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2024-04-05 |