NPI | 1639100654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC39373) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 39373) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-09-24 |