NPI | 1891966602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47586) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 1472) |
Enumeration Date | 2008-03-19 |
Last Update Date | 2020-08-31 |