NPI | 1063027845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 133965) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 119540) |
Enumeration Date | 2020-09-09 |
Last Update Date | 2023-01-14 |