NPI | 1740508787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99387) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 68089) |
106H00000X Marriage & Family Therapist (Licence: UT 13113783-3902) | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2023-12-18 |