| NPI | 1992239784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111644) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98314) |
| 225400000X Rehabilitation Practitioner (Licence: CA IMF98314) | |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-12-04 |