NPI | 1194423632 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT136852) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 136852) |
Enumeration Date | 2023-02-22 |
Last Update Date | 2023-06-30 |