NPI | 1003709973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT23881) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA LMFT23881) |
Enumeration Date | 2025-05-30 |
Last Update Date | 2025-05-30 |