NPI | 1578897724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90550) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 65084) |
Enumeration Date | 2009-09-21 |
Last Update Date | 2018-03-21 |