NPI | 1568803153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 74486) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105842) |
106H00000X Marriage & Family Therapist (Licence: CA 105824) | |
Enumeration Date | 2013-07-10 |
Last Update Date | 2021-06-22 |