NPI | 1609364975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 1241965) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 102341) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2021-07-10 |