| NPI | 1689291023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127571) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: 67352) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-11-26 |