NPI | 1144580457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132767) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4721-R) |
106H00000X Marriage & Family Therapist (Licence: CA 85282) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2024-02-09 |