NPI | 1871759514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT87053) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2008-08-01 |
Last Update Date | 2016-05-10 |