NPI | 1730559337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114626) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF90397) |
Enumeration Date | 2015-09-25 |
Last Update Date | 2021-12-30 |