NPI | 1972761096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 100082) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2403) |
Enumeration Date | 2008-05-27 |
Last Update Date | 2025-02-06 |