| NPI | 1801485586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130546) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 9591) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2022-02-04 |