NPI | 1669843421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105325) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94014) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2018-12-05 |