NPI | 1134479801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT125812) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-09-10 |
Last Update Date | 2021-05-25 |