NPI | 1013140813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100627) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF95127) |
101YM0800X Counselor, Mental Health | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2009-08-26 |
Last Update Date | 2017-07-10 |