NPI | 1578857678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF103382) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2011-06-06 |
Last Update Date | 2018-06-14 |