| NPI | 1851786552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107937) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 85292) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-05-09 |