NPI | 1649801416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 132088) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 4477-R) |
Enumeration Date | 2020-01-30 |
Last Update Date | 2023-12-07 |