| NPI | 1770131641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 143473) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120482) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-11-19 |