NPI | 1306203138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104572) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF72858) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2024-02-19 |