NPI | 1609304344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115885) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF83071) |
Enumeration Date | 2017-05-25 |
Last Update Date | 2020-09-10 |