NPI | 1851786552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107937) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 85292) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-05-09 |