NPI | 1063847036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106891) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75953) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2018-06-20 |