| NPI | 1477709566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 24856) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA LSP 002080) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |