| NPI | 1922820612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152848) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 3046) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-03-17 |