| NPI | 1487839528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60028) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2022-05-03 |