NPI | 1649716366 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127108) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123402) |
106H00000X Marriage & Family Therapist (Licence: CA IMF83401) | |
225400000X Rehabilitation Practitioner | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2017-01-19 |
Last Update Date | 2021-08-13 |