NPI | 1225575640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 127269) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94238) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2021-08-11 |