NPI | 1417295734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 126242) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 110371) |
Enumeration Date | 2013-01-21 |
Last Update Date | 2021-06-09 |