NPI | 1306394556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130325) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 96565) |
Enumeration Date | 2016-09-16 |
Last Update Date | 2023-04-06 |