NPI | 1124564398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF96289) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT96289) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2024-04-30 |