NPI | 1134508476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105695) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 80196) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2023-01-26 |