NPI | 1285019984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145752) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 74837) |
106H00000X Marriage & Family Therapist (Licence: CA 112229) | |
Enumeration Date | 2015-07-23 |
Last Update Date | 2024-03-27 |