| NPI | 1629310511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 59207) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-05-22 |