| NPI | 1447780937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128689) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111941) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-10-11 |