NPI | 1790908242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124571) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72174) |
106H00000X Marriage & Family Therapist (Licence: CA 72174) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2024-04-18 |