NPI | 1154902708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125876) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT113155) |
Enumeration Date | 2021-04-15 |
Last Update Date | 2021-06-01 |