NPI | 1265870646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123938) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79388) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2021-01-15 |