NPI | 1457586984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT79612) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79612) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2021-02-19 |