NPI | 1407364292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130578) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6523) |
106H00000X Marriage & Family Therapist (Licence: CA 114020) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2018-01-16 |
Last Update Date | 2022-01-18 |