| NPI | 1982048930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52119) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 11961) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |