NPI | 1396054672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103667) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF61802) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2024-08-28 |