| NPI | 1841571734 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC98900)  | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| 106H00000X Marriage & Family Therapist (Licence: CA IMF72484)  | |
| Enumeration Date | 2011-09-06 | 
| Last Update Date | 2017-03-21 |