NPI | 1417205824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 116489) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01013) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2025-05-15 |