NPI | 1174964209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97370) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68921) |
Enumeration Date | 2013-07-17 |
Last Update Date | 2021-02-11 |