| NPI | 1841444064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53973) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2014-05-15 |