NPI | 1700372158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: 107466) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 99945) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2019-05-07 |