| NPI | 1659672293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105423) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70011) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2018-07-31 |