NPI | 1053864298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 101708) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2016-07-24 |
Last Update Date | 2021-04-05 |