| NPI | 1326214867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137909) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112011) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2023-10-30 |