NPI | 1043443625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102403) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI# IMF 73347) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2021-01-18 |