NPI | 1972038669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 123164) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF98969) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2020-12-21 |