NPI | 1356635338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108485) |
Additional Taxonomies | 104100000X Social Worker |
106H00000X Marriage & Family Therapist (Licence: CA 72342) | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2011-06-07 |
Last Update Date | 2020-11-09 |