NPI | 1972103398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134497) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 120027) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2024-03-04 |