NPI | 1679944516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109297) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90239) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2015-10-19 |
Last Update Date | 2018-09-18 |