| NPI | 1710259114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 97367) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 8932) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2024-03-04 |