NPI | 1063952083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT98331) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF98331) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2018-06-11 |