NPI | 1396096681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99166) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-09-26 |
Last Update Date | 2018-12-04 |