| NPI | 1558734210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 48512) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2019-11-22 |