NPI | 1912170234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC52671) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 56702) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2008-04-08 |
Last Update Date | 2023-09-26 |