| NPI | 1356697429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97025) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF75607) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2017-04-24 |