NPI | 1912239898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51481) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 57168) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2022-12-12 |