| NPI | 1184151367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126135) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111628) |
| 106H00000X Marriage & Family Therapist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2021-06-11 |