NPI | 1508455767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150149) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF97132) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2025-05-05 |