| NPI | 1578754479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT114504) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-07-27 |