NPI | 1740300086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47116) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 2938-R) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2020-10-27 |