NPI | 1093159600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225C00000X Rehabilitation Counselor |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82622) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-04-25 |
Last Update Date | 2019-07-22 |