| NPI | 1174771992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT88575) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62755) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2021-01-29 |