NPI | 1164085635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103942) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2019-04-19 |
Last Update Date | 2019-06-11 |