| NPI | 1366749103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52833) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 165) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2018-06-13 |