NPI | 1174958409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LCSW73928) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 73928) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-09-05 |
Last Update Date | 2021-12-03 |