NPI | 1801272075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF93194) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 111449) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2020-01-04 |