NPI | 1225762073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152741) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 133630) |
Enumeration Date | 2022-07-15 |
Last Update Date | 2025-02-20 |