NPI | 1124646021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128505) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117614) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2021-10-08 |