| NPI | 1629264247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 52157) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-03-05 |