| NPI | 1497865588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT18453) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 54196) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-12-13 |