NPI | 1942786413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT138659) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2018-07-17 |
Last Update Date | 2023-05-22 |