NPI | 1700337821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 117208) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 95709) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2020-06-10 |