NPI | 1871621102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 49118) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA MFTI 43621) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-10-01 |