| NPI | 1477679520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT49424) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90844) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-12-04 |