NPI | 1851663173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 52646) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK 1316) |
Enumeration Date | 2012-02-01 |
Last Update Date | 2021-08-10 |