NPI | 1912569609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 131566) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 112689) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2022-04-14 |