NPI | 1174257109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT135695) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2022-07-14 |
Last Update Date | 2022-11-09 |