| NPI | 1083041370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123492) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101934) |
| 106H00000X Marriage & Family Therapist (Licence: CA IMF101934) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2023-06-14 |