NPI | 1790166783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 114353) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF91705) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2024-02-13 |