| NPI | 1205300605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138372) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 16867) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2024-01-04 |