| NPI | 1952942013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136862) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: CA 116351) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-01-30 |