| NPI | 1154988319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131958) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115965) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2022-05-13 |