NPI | 1780934356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99201) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71729) |
Enumeration Date | 2012-09-11 |
Last Update Date | 2025-03-31 |