NPI | 1164639589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112650) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74344) |
106H00000X Marriage & Family Therapist (Licence: CA 112670) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2023-03-22 |