NPI | 1700151206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 108253) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2012-03-16 |
Last Update Date | 2018-08-15 |