| NPI | 1871621102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49118) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA MFTI 43621) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-10-01 |