NPI | 1891041612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 92448) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70477) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2022-04-13 |