NPI | 1184941965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 86483) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62217) |
Enumeration Date | 2010-05-03 |
Last Update Date | 2017-02-24 |