NPI | 1114276904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF69176) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 107315) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2022-11-01 |