NPI | 1093199473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125840) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95283) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2021-09-09 |