NPI | 1376046706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145467) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT104613) |
Enumeration Date | 2018-03-12 |
Last Update Date | 2024-03-08 |