| NPI | 1679944516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109297) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90239) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2018-09-18 |