NPI | 1225622806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 138136) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 123017) |
Enumeration Date | 2021-02-24 |
Last Update Date | 2023-03-03 |