NPI | 1124320122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 135623) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76687) |
Enumeration Date | 2010-11-23 |
Last Update Date | 2024-01-08 |