NPI | 1003340134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155599) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001327) |
Enumeration Date | 2017-04-15 |
Last Update Date | 2025-08-01 |