NPI | 1881010452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT112890) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: CA MFTi79454) | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2014-03-06 |
Last Update Date | 2021-10-28 |