NPI | 1780096073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF98385) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-05-21 |
Last Update Date | 2017-02-27 |