NPI | 1316304165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121117) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF84643) |
Enumeration Date | 2016-01-25 |
Last Update Date | 2024-01-31 |