NPI | 1225312689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102721) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2987) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2025-03-21 |