NPI | 1427485481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF100963) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2013-10-04 |
Last Update Date | 2018-03-26 |