NPI | 1871612747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT121702) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 82320) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2021-01-13 |