NPI | 1386260818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ 16006) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 124890) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2023-09-01 |