NPI | 1366500282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 42386) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 42386) |
106H00000X Marriage & Family Therapist (Licence: CA MFT42386) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2025-07-29 |