| NPI | 1053561316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134270) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89684) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2023-05-19 |