NPI | 1508164567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 154689) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01208) |
Enumeration Date | 2011-02-28 |
Last Update Date | 2025-07-14 |