| NPI | 1174232318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136937) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 13029) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2023-08-23 |