| NPI | 1073107405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CT 002840) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT123587) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2022-05-25 |