| NPI | 1194423632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136852) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 136852) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-06-30 |