NPI | 1093380743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126056) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 126056) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-05-25 |