NPI | 1316375322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96327) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 75023) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2019-03-11 |