NPI | 1669628103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51804) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 55421) |
Enumeration Date | 2008-08-15 |
Last Update Date | 2015-06-30 |