| NPI | 1780281154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120546) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 120546) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2024-06-27 |