| NPI | 1891043899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 95742) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 76299) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2018-03-17 |