NPI | 1285111468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 124399) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104923) |
Enumeration Date | 2018-07-20 |
Last Update Date | 2021-03-03 |