| NPI | 1174048789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119987) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF102483) |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT102483) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2024-10-24 |