NPI | 1821617721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 137249) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 117815) |
Enumeration Date | 2020-04-10 |
Last Update Date | 2023-01-20 |