NPI | 1760101430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106178) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 204735) |
Enumeration Date | 2022-08-25 |
Last Update Date | 2023-09-21 |