NPI | 1376986158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT122651) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI82843) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2023-03-09 |