NPI | 1407513898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 157674) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 126747) |
Enumeration Date | 2021-11-21 |
Last Update Date | 2025-09-24 |