| NPI | 1023140647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 142858) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 91018) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-06-06 |