NPI | 1326822735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT141986) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-10-11 |