| NPI | 1730847435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 146352) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 150967) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2026-05-23 |