NPI | 1083200026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132413) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT120439) |
Enumeration Date | 2020-12-14 |
Last Update Date | 2022-06-29 |