NPI | 1578895298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC53108) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2010-02-04 |
Last Update Date | 2016-12-05 |