| NPI | 1629264247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52157) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2013-04-29 |