NPI | 1497800353 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC # 45339) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45339) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-01-22 |