NPI | 1043989163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125824) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000668) |
Enumeration Date | 2021-09-11 |
Last Update Date | 2025-07-28 |