NPI | 1720723869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT134443) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-09-08 |