NPI | 1699053991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94662) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 73605) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2016-09-11 |