| NPI | 1255178091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128864) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 3203) |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |