NPI | 1114332582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT119667) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-06-24 |
Last Update Date | 2021-05-25 |