NPI | 1437607637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115274) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89153) |
106H00000X Marriage & Family Therapist (Licence: TX 203988) | |
Enumeration Date | 2016-09-15 |
Last Update Date | 2024-04-22 |