NPI | 1396054052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC21294) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LCM766) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2023-10-10 |