NPI | 1700344777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 145729) |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2019-03-07 |
Last Update Date | 2025-06-16 |