NPI | 1629408000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109969) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76587) |
Enumeration Date | 2013-11-20 |
Last Update Date | 2021-05-03 |