NPI | 1447508841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT110701) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71370) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2018-12-07 |