| NPI | 1689988990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 149156) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA D5309144) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2024-08-27 |