NPI | 1447419007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC45708) |
Additional Taxonomies | 171W00000X Contractor (Licence: CA CEAP 028148) |
Enumeration Date | 2008-06-08 |
Last Update Date | 2024-10-31 |