NPI | 1063892917 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112309) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98005) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2021-12-30 |