NPI | 1669016838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT128677) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2019-10-31 |
Last Update Date | 2023-07-26 |