| NPI | 1083847040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PT 31703) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2025-05-15 |