NPI | 1437658333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121610) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104298) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2021-06-17 |