NPI | 1790177301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105665) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA Intern # 71499) |
Enumeration Date | 2015-02-19 |
Last Update Date | 2024-02-23 |