| NPI | 1427187236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF62776) |
| 101YM0800X Counselor, Mental Health (Licence: CA IMF62776) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2017-01-10 |