| NPI | 1770149502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138261) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 122150) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2023-03-09 |