NPI | 1891055125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115345) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 61723) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2024-10-01 |