NPI | 1013143114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT84637) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 63576) |
106H00000X Marriage & Family Therapist (Licence: CA 84637) | |
Enumeration Date | 2009-06-03 |
Last Update Date | 2023-06-21 |