| NPI | 1093199473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125840) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95283) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-09-09 |