NPI | 1700208865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90868) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 75706) |
Enumeration Date | 2014-01-09 |
Last Update Date | 2022-02-11 |