NPI | 1043744840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131680) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 131680) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2023-08-03 |