NPI | 1316340037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 76649) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 101034) |
Enumeration Date | 2014-10-08 |
Last Update Date | 2017-09-06 |