NPI | 1699113084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 81529) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF68571) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2014-08-06 |