| NPI | 1316172273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53110) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 58669) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2014-02-10 |