| NPI | 1689119976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT120223) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF100875) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2022-07-21 |