NPI | 1780120956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT115916) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2017-01-12 |
Last Update Date | 2020-03-17 |