| NPI | 1497982862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92458) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 4963) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2019-06-12 |