| NPI | 1265554851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116853) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54606) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2021-12-14 |