| NPI | 1104933290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC31145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT 8458) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-08-18 |