NPI | 1962875948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT120712) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF89802) |
Enumeration Date | 2015-11-12 |
Last Update Date | 2021-08-23 |