NPI | 1972874741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84799) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 12258660-3902) |
106H00000X Marriage & Family Therapist (Licence: NV 4560-R) | |
Enumeration Date | 2012-01-25 |
Last Update Date | 2025-06-24 |