NPI | 1003048331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83971) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 60975) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2022-02-11 |