NPI | 1275011082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117581) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2018-08-02 |
Last Update Date | 2020-01-27 |