| NPI | 1679807861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52143) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 11359) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2025-03-13 |