NPI | 1720641400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 128726) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: HI 791) |
Enumeration Date | 2019-04-17 |
Last Update Date | 2023-03-05 |