| NPI | 1760118236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136607) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 136607) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-12-20 |