| NPI | 1659159283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 165016) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 171M00000X) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2026-08-26 |