NPI | 1245655216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121010) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-02-27 |
Last Update Date | 2020-10-22 |