NPI | 1104382472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT140092) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT114175) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2019-02-12 |
Last Update Date | 2024-02-02 |