NPI | 1417381039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98511) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF74452) |
Enumeration Date | 2013-08-30 |
Last Update Date | 2018-07-26 |