NPI | 1770986390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93361) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 79820) |
Enumeration Date | 2014-09-28 |
Last Update Date | 2016-08-17 |