NPI | 1053561316 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134270) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 89684) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2023-05-19 |