| NPI | 1093159600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82622) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-07-22 |