| NPI | 1679879902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LMFT-15540) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01498) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2024-04-17 |