| NPI | 1699069450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC51281) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 1MF64960) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2018-11-01 |