NPI | 1558793042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88569) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88569) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2019-08-15 |