NPI | 1104429323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 129024) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111880) |
Enumeration Date | 2020-11-19 |
Last Update Date | 2021-12-08 |