NPI | 1013457019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT127137) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFTI 97951) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2021-07-26 |