NPI | 1508112707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 51163) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ID MFT7109) |
Enumeration Date | 2012-07-25 |
Last Update Date | 2022-08-03 |