NPI | 1215424825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116144) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96448) |
Enumeration Date | 2018-04-18 |
Last Update Date | 2023-07-03 |