NPI | 1295376242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132541) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 115262) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2023-04-11 |