NPI | 1780230045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 130686) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114001) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2024-01-05 |