NPI | 1194072769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117287) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 80332) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2020-08-05 |