NPI | 1811034937 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X (Licence: CA MFT34858) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC34858) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2019-04-03 |