NPI | 1427590074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90140) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 90140) |
Enumeration Date | 2016-11-14 |
Last Update Date | 2023-10-11 |