NPI | 1801453410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148911) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 104316) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2024-08-23 |