| NPI | 1124311154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137002) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT110822) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2023-03-02 |