| NPI | 1801404454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 140531) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120873) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-08-16 |