| NPI | 1174944599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115871) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 78569) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2023-04-03 |