NPI | 1487922704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132851) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 14058265-3902) |
106H00000X Marriage & Family Therapist (Licence: ID 3861964) | |
Enumeration Date | 2011-12-01 |
Last Update Date | 2024-09-04 |