NPI | 1285986414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100405) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71250) |
Enumeration Date | 2012-10-11 |
Last Update Date | 2018-03-22 |