| NPI | 1871749739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 144117) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT118928) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2024-01-10 |