| NPI | 1285757732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 46856) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 46881) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-11-08 |