NPI | 1366916785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130455) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109241) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2019-01-18 |
Last Update Date | 2022-05-28 |