| NPI | 1457090631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 162842) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 135598) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2026-04-15 |