NPI | 1194999755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51143) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF56344) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2019-02-25 |