| NPI | 1023393402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76662) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2014-12-01 |