| NPI | 1003008210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 44177) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44177) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2008-01-23 |