NPI | 1275878662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151021) |
Additional Taxonomies | 221700000X Art Therapist |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2012-12-11 |
Last Update Date | 2024-10-31 |