NPI | 1144728775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124304) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF104074) |
Enumeration Date | 2018-01-29 |
Last Update Date | 2021-08-17 |