| NPI | 1124351390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77131) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMFT 62970) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2013-12-18 |