NPI | 1629413539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113496) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA INTERN 71014) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2021-02-24 |