NPI | 1356543003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115056) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74967) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2021-03-22 |