NPI | 1790013506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107497) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 74953) |
Enumeration Date | 2009-12-07 |
Last Update Date | 2018-07-25 |