NPI | 1861733479 |
---|---|
Former Name | ALICE ISABEL CHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87280) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF# 72256) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2013-03-06 |
Last Update Date | 2015-06-22 |