| NPI | 1477973279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110396) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98279) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2018-11-25 |