NPI | 1871614453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45157) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44752) |
106H00000X Marriage & Family Therapist (Licence: CA MFC45157) | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2015-10-07 |