NPI | 1194278937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122660) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2016-07-28 |
Last Update Date | 2024-09-13 |