| NPI | 1992551717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA ASW111488) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA ASW111488) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-06-07 |