| NPI | 1629424189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 119199) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102614) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2023-09-11 |