| NPI | 1104006204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55301) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2011-01-14 |