NPI | 1619335643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125740) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73201) |
106H00000X Marriage & Family Therapist (Licence: CA 109954) | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2021-07-22 |