NPI | 1023432812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 505025) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105025) |
Enumeration Date | 2014-02-13 |
Last Update Date | 2018-03-27 |