NPI | 1205668464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 151141) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 129179) |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-11-21 |