NPI | 1659925022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 155262) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114533) |
Enumeration Date | 2019-07-24 |
Last Update Date | 2025-07-10 |