NPI | 1003438607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT134343) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA RPS281) |
Enumeration Date | 2020-05-18 |
Last Update Date | 2023-09-28 |