NPI | 1114476959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107489) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94229) |
Enumeration Date | 2016-09-21 |
Last Update Date | 2019-01-22 |