| NPI | 1649481441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 48774) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 52554) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2024-10-25 |