NPI | 1720537392 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112399) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89023) |
Enumeration Date | 2016-09-23 |
Last Update Date | 2023-07-31 |