NPI | 1023521408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 122534) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98369) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2020-12-31 |