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 |