NPI | 1598038747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 66653) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79275) |
Enumeration Date | 2012-02-20 |
Last Update Date | 2021-04-12 |