NPI | 1982744116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT139852) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-02-07 |
Last Update Date | 2024-06-13 |