NPI | 1285122705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92416) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203939) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2024-11-20 |