NPI | 1952740664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 88179) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 000390) |
Enumeration Date | 2013-06-17 |
Last Update Date | 2016-06-15 |