NPI | 1427479278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112429) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 84224) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-12-20 |
Last Update Date | 2024-07-28 |