| NPI | 1386780625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT46257) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 46257) |
| 225400000X Rehabilitation Practitioner (Licence: CA IMF 47574) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-12-29 |