NPI | 1023543816 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114399) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2017-04-29 |
Last Update Date | 2019-08-28 |