NPI | 1194060293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 77848) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 77848) |
Enumeration Date | 2012-11-30 |
Last Update Date | 2018-03-17 |