NPI | 1720340318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110999) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 90021) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2021-02-01 |