| NPI | 1174958409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LCSW73928) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 73928) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2021-12-03 |