NPI | 1205311537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131939) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 109135) |
Enumeration Date | 2018-10-02 |
Last Update Date | 2022-06-15 |