NPI | 1518104645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT103348) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2009-01-12 |
Last Update Date | 2020-01-17 |