NPI | 1285157594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121368) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 97808) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2022-07-21 |