NPI | 1508323775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147588) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 118861) |
Enumeration Date | 2019-02-25 |
Last Update Date | 2024-06-30 |