| NPI | 1063638237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT77893) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 833) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-06-13 |