NPI | 1083046437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138013) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69869) |
106H00000X Marriage & Family Therapist (Licence: CA 106406) | |
Enumeration Date | 2013-08-07 |
Last Update Date | 2023-03-28 |