| NPI | 1386196285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC31562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP2644) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2019-04-02 |