NPI | 1871869669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 97366) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69402) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2024-09-26 |