NPI | 1558074542 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138537) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-08-21 |