NPI | 1477709566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT 24856) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA LSP 002080) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2008-08-08 |