NPI | 1710302906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96878) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76822) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2018-05-16 |