| NPI | 1366916785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130455) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109241) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2022-05-28 |