| NPI | 1881227130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117110) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 19719) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |