NPI | 1972076669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110794) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2019-01-06 |
Last Update Date | 2019-01-06 |