NPI | 1467746792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53789) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: AZ 15207) |
Enumeration Date | 2011-06-03 |
Last Update Date | 2021-01-02 |