NPI | 1619508348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 147053) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117715) |
Enumeration Date | 2020-01-31 |
Last Update Date | 2024-05-23 |