NPI | 1750757365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103934) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 88442) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2018-11-05 |