NPI | 1245590884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98257) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T2448) |
Enumeration Date | 2012-05-16 |
Last Update Date | 2024-09-25 |