NPI | 1154635175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF72567) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 103941) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2018-05-02 |