NPI | 1477679520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT49424) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90844) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2024-11-27 |