NPI | 1770625345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 73756) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-02-12 |
Last Update Date | 2018-08-14 |