NPI | 1124201116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 83991) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT0001936) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2023-10-18 |